Clinic
Baptist Health Medical Group INC
Baptist Health Medical Group INC was paid $514K by Medicaid between Oct 2019 and Aug 2021, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
33aNPI1174091763assigned 11/13/2018
33bProvider typeRural Health Clinic/Center
28Total paid$514K
24GClaims13,235
24DCodes billed21
24AFirst – last monthOct 2019 – Aug 2021
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#107 of 265
Median peer was paid$400K
This provider vs. median1.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,672 | $59K | |
| 2020 | 6,704 | $264K | |
| 2021 | 4,859 | $191K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 74% | 8,300 | 7,053 | $378K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 2,759 | 2,403 | $91K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 155 | 121 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 549 | 445 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 187 | 161 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 35 | 31 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 227 | 215 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 249 | 234 | $3K |
| 99443 | <1% | 30 | 25 | $3K | |
| 99442 | <1% | 47 | 40 | $2K | |
| 90686 | <1% | 145 | 136 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 30 | 26 | $2K |
9 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 59 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 107 | $2K |
| 90674 | <1% | 61 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 172 | $805.20 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 14 | $326.83 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 43 | $255.38 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 28 | $161.58 |
| 73630 | <1% | 21 | $136.90 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 17 | $96.36 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCLAY, DANYEL (VICE PRESIDENT REVENUE CYCLE)
Parent organizationBAPTIST HEALTH MEDICAL GROUP INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.